The 7th TED WONG'S JEET KUNE DO SEMINAR
Application Form

To: Jun Fan Jeet Kune Do HK Chapter                             Fax: (852) 2422-0732

I would like to join in the 7th Jun Fan Jeet Kune Do Seminar

Please tick the appropriate box(es) :

Day 1 - July 27, 2002 (Saturday) 10:00a.m. - 5:00p.m. -- Foundational Course

Day 2 - July 28, 2002 (Sunday) 10:00a.m. - 5:00p.m. -- Advanced Course 

Name: _________________________________

Age : ________________________

Address: ______________________________________________________________

_______________________________________________________________________

Telephone: _____________________________

Fax: _________________________

Email address: ______________________________________

I Understand and agree that by signing below, I agree to indemnify and hold harmless Jun Fan Jeet Kune Do HK Chapter Limited, Jun Fan Gung Fu Institute Limited and all people in-charge, from any litigation arising from injuries or accidents occurring at the above mentioned seminar or afterwards.　

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Signature                                                                 Date